Your doctor will prescribe your exact dose and tell you how often it should be given. This medicine is given through a needle placed in one of your veins.
A nurse or other trained health professional will give you this medicine. You will be watched closely for about 30 minutes after you start to receive this medicine, especially if you are getting it for the first time.
The needle will have to remain in place while you are receiving this medicine.
You will continue to receive this medicine until you are able to take the oral (by mouth) form of tacrolimus.
Ask your doctor or pharmacist before using any other medicine, including over-the-counter medicines, vitamins, and herbal products.
There are many other drugs that can interact with tacrolimus. Make sure your doctor knows about all other medicines you are using.
Make sure your doctor knows if you are using cisplatin (Platinol®-AQ) or cyclosporine (Gengraf®, Neoral®, or Sandimmune®). Tell your doctor if you are also using medicine for high blood pressure (such as diltiazem, nicardipine, nifedipine, verapamil, Calan®, Cardene®, Cartia®, or Procardia®) or stomach problems (such as antacids, cimetidine, lansoprazole, metoclopramide, omeprazole, Mylanta®, Prevacid®, Prilosec®, Reglan®, or Tagamet®).
Make sure your doctor knows if you are using bromocriptine (Parlodel®), danazol (Danocrine®), ethinyl estradiol (Estinyl®), methylprednisolone (Medrol®), nefazodone (Serzone®), St. John's wort, or sirolimus (Rapamune®). Your doctor should also know if you are using medicines to treat seizures (such as carbamazepine, phenobarbital, phenytoin, Carbatrol®, Dilantin®, or Luminal®), bacteria infections (such as amikacin, chloramphenicol, clarithromycin, erythromycin, gentamicin, rifabutin, rifampin, streptomycin, troleandomycin, Amikin®, Biaxin®, Ery-Tab®, Garamycin®, Mycobutin®, Rifadin®, or Tao®), virus infections (such as ganciclovir, nelfinavir, ritonavir, Cytovene®, Norvir®, or Viracept®), or fungus infections (such as amphotericin B, caspofungin, clotrimazole, fluconazole, itraconazole, ketoconazole, voriconazole, Amphocin®, Cancidas®, Clotrim®, Diflucan®, Nizoral®, Sporanox®, or Vfend®).
Tell your doctor if you are using diuretics or ("water pills") such as spironolactone, triamterene, or Aldactone®.
Talk to your doctor before getting flu shots or other vaccines while you are receiving this medicine. Vaccines may not work as well, or they could make you ill while you are using this medicine.
Do not eat grapefruit or drink grapefruit juice while you are using this medicine.
Make sure your doctor knows if you are pregnant or breastfeeding, or if you have kidney disease, liver disease, heart disease, high blood pressure, cancer, diabetes, high potassium in the blood, brain or nerve problems, or any infection.
Your doctor will need to check your blood or urine at regular visits while you are using this medicine. Be sure to keep all appointments.
This medicine may cause serious allergic reactions, including anaphylaxis, which can be life-threatening and require immediate medical attention. Call your doctor right away if you have itching; hives; hoarseness; shortness of breath; trouble breathing; trouble swallowing; or any swelling of your hands, face, or mouth after you receive this medicine.
This medicine lowers the number of some types of blood cells in your body. Because of this, you may bleed or get infections more easily. To help with these problems, avoid being near people who are sick or have infections. Wash your hands often. Stay away from rough sports or other situations where you could be bruised, cut, or injured. Brush and floss your teeth gently. Be careful when using sharp objects, including razors and fingernail clippers.
This medicine may increase your risk of developing tumors or skin cancer. Talk with your doctor if you have concerns.
Some people who have had transplants and used tacrolimus have developed diabetes. This has happened more often in people who are Hispanic or African-American and have had a kidney transplant. You may also have a higher risk of skin cancer or cancer of the lymph system while using tacrolimus. Talk to your doctor if you have concerns about these risks.
This medicine may make your skin more sensitive to sunlight. Use a sunscreen when you are outdoors. Avoid sunlamps and tanning beds.